Medicare & Medicaid

Urban Institute data show 46% of adults aged 18 to 64 faced unmet care needs, unpaid medical bills or medical debt, with even insured families hit hard

What works well when health care partners with community groups? National Academy of Medicine offers answers for Medicare.

The latest HHS-OIG findings spur audits in real time around vascular procedures — and primary care could be involved.

Federal prosecutors charged, settled and sentenced health care fraud at a record pace in the first half of 2026. These are the 10 most consequential cases, counted down to a record-setting finish.

Here’s how to get paid more for managing patient complex conditions over time.

The top news stories in medicine this week.

Medicare’s G2211 code has a critical design flaw by applying a primary care fix to specialty care

A new JAMA analysis of 1,000 federally funded training positions found psychiatry capturing the largest share of gains, while the proportion reaching primary care and rural communities fell with each round.

Medicare spends $1.1 trillion a year — or misspends it, depending on this analysis of incentives and outcomes.

A primary care physician and policy expert reflects on current health care and service with MedPAC.

Medicare Payment Advisory Commission publishes June report to Congress

A bipartisan bill to fix Medicare's budget-neutrality rules cleared a key House committee. But this year's 2.5% pay bump is already eroding, and it disappears in 2027 without further action.

The top news stories in medicine this week.

The top news stories in medicine today.

Learn more about the goals, procedures and billing of the new 10-year ACCESS payment model.

The top news stories in medicine this week.

The new 10-year mix of tech, chronic condition management and primary care launches in July.

A new JAMA proposal would treat primary care as a public utility, pooling the dollars payers already spend on it into a single state fund that pays practices directly, with no new spending needed to start.

Independent primary care is wasting away due to a significant payment disparity. Here's how to fix it

The top news stories in medicine this week.

To maximize savings in value-based care, CMS should create payment models for physicians, not middlemen.

The top news stories in medicine this week.

Physicians Foundation president discusses CMS request for information about physician-owned hospitals.

Armed with a new ruling, Democrats launch another effort to kill prior auth in WISeR payment model now running in six states.

Insurers and federal officials say prior authorization is moving into the digital age. Physicians are still waiting to see whether the burden actually drops.